Table 3.
Selected genetic, environment, and gene-environment interactions in RA, SLE, and AS.
Phenotype | MHC gene (variance explained) | Number of non-HLA SNPs associated Ref | Selected non-HLA genes/loci | Key environmental factors | Proposed gene-environment interactions |
---|---|---|---|---|---|
RA |
HLA-DRB1 HLA-DPB1 HLA-B (12%) |
1014 |
PTPN22 TNAIF3 TYK2 |
Cigarette smoking Reproductive factors and hormonal exposures Silica Periodontitis Excess body mass Alcohol intake Fish intake |
HLA-DRB1-smoking PTPN22- smoking |
SLE |
HLA-DRB1 HLA-DPB1 HLA-G |
>4086 |
ATG5 TREX1 DNASE1 IRF5 TLR7 FCGR2A |
Ultraviolet-B light Current cigarette smoking Silica Reproductive factors and hormonal exposures Alcohol intake Epstein-Barr virus |
DNA repair genes-UV-B light and smoking TLR genes-infections |
AS | HLA-B27 (20%) | 30108 |
IL23R IL1R2 2p15 |
Gut microbiome Cigarette smoking Testosterone |
HLA-B27-infections |
Abbreviations: AS, ankylosing spondylitis; HLA, human leukocyte antigen; MHC, major histocompatibility complex; RA, rheumatoid arthritis; SLE, systemic lupus erythematosus; SNPs, single nucleotide polymorphisms; TLR, toll-like receptor; UV-B, ultraviolet-B.